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Early orthodontic treatment will not resolve all potential orthodontic problems or totally inhibit adverse skeletal growth patterns. However, by identifying problems at an early age it is possible to redirect skeletal growth; improve the occlusal relationship; enhance the patient's esthetics and self-image and, perhaps of even greater importance, achieve results that are unattainable later with the eruption of teeth and the cessation of growth.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
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This article is intended to give an overview of an alternative treatment plan for mandibular posterior replacements and descriptions of techniques. Practitioners who possess a basic knowledge of fixed prosthodontics and corrective orthodontic capabilities could successfully treat such a case.
Two Class III cases are described which are treated first during childhood with orthopedics and later by a second stage with orthodontics using bonded braces. One case was treated solely with a chin cup and the other with a chin cup, disjunction and anterior traction. Profile and occlusion changes are analyzed and the orthopedic effect of the treatment is discussed.
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Oligodontia is defined as the congenital absence of six or more teeth, excluding the third molars. Genetic factors play an important role in oligodontia, which can occur as an isolated finding or as part of a syndrome. Characteristic dental symptoms are a reduced number of teeth, a reduction in tooth size, anomalies of tooth form, and delayed eruption. This article describes treatment of a 6-year-old girl with congenital absence of 16 permanent teeth. Her malocclusion was corrected by orthodontic therapy, and removable partial dentures were made to improve esthetics and chewing function.
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This study was undertaken to investigate the extent and the cost of orthodontic consultation and treatment of malocclusions in 19-year-olds at a Public Dental Service (PDS) clinic. A further aim was to evaluate the group of patients who discontinued their treatment prematurely. A total of 223 patient records were reviewed. The results showed that every second patient (106 of 223) was seen by a specialist for orthodontic evaluation. Of these, 54% (57 of 106) were treated with removable appliance, 29% (31 of 106) benefited from interceptive treatment without appliance and 12% (13 of 106) were referred to a specialist clinic. The costs for specialist consultations comprised 19% of the overall orthodontic treatment cost. Premature interruption of treatment with removable appliance was found in 17% (10 of 57) of the patients. This group consumed 12% of the overall orthodontic treatment cost. Reasons for discontinuing treatment included problems with co-operation and motivation and a lack of parental support. Seventy per cent of those who discontinued their treatment prematurely had been treated with an activator.
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This article describes a multidisciplinary approach to the treatment of a severe skeletal anterior open bite, complicated by severe chronological enamel hypoplasia, in a 12-year-old southern Chinese girl. Correction of the open bite, of which the cause was unknown, involved the extraction of all first permanent molars and provisional repair of the wafer-thin enamel to permit bonding of fixed orthodontic brackets. Several phases of maxillary and mandibular fixed appliance therapy followed. As the open bite resolved, further restorative treatment was performed. The result was stable 3 years after the end of retention. This case demonstrates the benefits of well-planned, integrated, multidisciplinary treatment.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.